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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Conservative management of acute epidural hematoma in a pediatric age group
Pediatric Neurosurgery, Volume 45, No. 3, Year 2009
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Description
Objective: Craniotomy and evacuation is the standard treatment of acute epidural hematoma (EDH). Here, the authors report their experience in nonoperative management of acute EDH in children with mild head injury. Methods: The authors retrospectively reviewed charts of patients with conservatively treated EDH at the Department of Neurosurgery, King Abdulla University Hospital, Irbid, Jordan, between August 2003 and October 2007. All patients had a Glasgow Coma Scale score of 14 or 15, and an initial computerized tomography (CT) scan demonstrating an EDH with or without skull fractures. Follow-up included neurological examination and brain CT. Results: Six children (3 boys, 3 girls) with acute EDH were successfully managed at our department without surgical intervention. The Glasgow Outcome Scale score of all patients was 5, with no posttraumatic sequelae. Follow-up brain CT showed complete resolution of the EDH within 2-3 months. Conclusions: Our results demonstrated that pediatric EDH can be managed nonoperatively. The pronounced increase in the number of CT examinations for patients with head injuries has resulted in a greater proportion of EDH detected in conscious patients. We recommend such treatment be performed in specialized pediatric neurosurgical centers under close neurological observation. © 2009 S. Karger AG, Basel.
Authors & Co-Authors
Jamous, Mohammed
Jordan, Irbid
Jordan University of Science and Technology
Abdel Aziz, Hani
Jordan, Irbid
Jordan University of Science and Technology
Al Kaisy, Farouk
Jordan, Irbid
Jordan University of Science and Technology
Eloqayli, Haytham M.
Jordan, Irbid
Jordan University of Science and Technology
Azab, Mohammed A.
Jordan, Irbid
Jordan University of Science and Technology
al-Jarrah, Muhammed Deeb
Jordan, Irbid
Jordan University of Science and Technology
Statistics
Citations: 49
Authors: 6
Affiliations: 1
Identifiers
Doi:
10.1159/000218200
ISSN:
10162291
Research Areas
Health System And Policy
Maternal And Child Health
Violence And Injury
Study Design
Randomised Control Trial
Cohort Study
Participants Gender
Male
Female